Obstacles Still Face Health Care Ahead of Rollout

5/1/2013 9:17AM

With less than six months before most of the federal health law starts, the Obama administration faces the prospect of high-profile glitches with few options to fix them. Louise Radnofsky explains. Photo: Getty Images

This transcript has been automatically generated and may not be 100% accurate.

... the the ... the main goal for twenty ten health care law is to bring health insurance coverage to Americans who lack it ... yet two of the measures key ways of doing this ... have hit obstacles Louise Radnofsky is in Washington she knows all about ... the health care law and the Proms it's facing Ruiz good morning ... my ... okay first ... problem that we should discuss ... states are sitting out an expansion of Medicaid ... why is that important ... well the Supreme Court decision effectively gave states the choice of what it participated in Medicaid expansion is a major part of the efforts of the house looks extend coverage to millions of Americans ... and will we see now a few months before the main provisions that will roll out ... if they ... set a number of states ... many more it might have seen people bought it at the outset ... I'm not going to participate at least in the first year to date the reasons for this very that even in some cases they Florida where the governor ... Republican excited said that ... he's changed his mind he thinks it's a good idea from sixteen to compensate the state legislature this point go along with them ... ok another problem some states are refusing to set up ... health care exchanges one of those and why are they refuse ... well the exchanges are basically marketplace is on line but also the battle of the flight ... people can shop for policies apply for federal subsidies towards the cost of premiums ... there will be the better evidence as any state in every state ... it'll be running this exchanges for thirty three states about the difficulty for Washington because they had to find the funds to do that it has cobbled together ... and it's not an easy thing to do ... and the way lol is set up a lot of the funding I is is a team that states that are reading and exchanges of getting funds to those states for interesting consumers systems for example ... has been really difficult the net result is that this that fifty four million dollar pot ... up for these people called navigators in person consumer assistance ... why ... when that spread across thirty three states it gets pretty pretty thin so why haven't we had in the story ... to ... two point two ... million dollars and eight Ohio ... Ohio has twelve point five million uninsured people ... and to to be clear so you have thirty three states that are not setting up their own health care exchanges but ... the federal government will ... set up exchanges in those states for their residents ... they will get a bit okay I mean is that when you that easy is it just a matter of time before ... states ... decide to expand Medicaid decide to set up their own exchanges we think ... if there really a questionnaire sent me some states that don't look like they're getting that next year mostly because the state legislative session this hasn't been able to get it done ... and those states could be of course the ones you look at most closely is that that most likely take that next year or thereafter ... but in the same time that the clock is ticking for this once they get a really good deal if they sign up in the county is twenty fourteen fifteen or sixteen ... and after that the deal starts to become US that's been said this a lot of sales and here ... ok ... another issue you with ... that ... the current crop of technology ... he thumps ... his is the can it be a problem ... well the federal government says it is racing to make sure they didn't have a problem of what lawmakers and consultants also pointed out is that any B program rollout involves glitches especially when a bomb sight seeing this is a really complicated ... I think they're trying to see that involves various data sets across the federal government talking to each other ... the president actually acknowledges this data set there will be some glitches in somebody somewhere has specifically told not computer systems that anyone who remembers the rollout of Medicare part D ... understand that there can be some technical flipped face a lot for that ... any quick fixes in the early days and those of the basin everyone's watching and to be clear Medicare part D was far less ... complex ... than ... the Affordable Care Act ... it was this and this is the comparison to the survey saving eight that the federal government has done at the same time is extended benefits to millions of people who are already in the system ... if this is can it get to the hardest to reach Americans to sign up for health insurance ... and the health insurance benefit itself is also a little bit more complicated ... Louise